Article
Health Care Sciences & Services
Yang Wang, Gerard Anderson
Summary: The study found that higher private sector prices led primarily to greater surplus and administrative costs for nonprofit hospitals, with smaller increases in spending on services that directly benefit patients.
HEALTH SERVICES RESEARCH
(2022)
Article
Public, Environmental & Occupational Health
Ratna Dwi Wulandari, Agung Dwi Laksono, Rofingatul Mubasyiroh, Rika Rachmalina, Mara Ipa, Nikmatur Rohmah
Summary: This study analyzed the effectiveness of government-run insurance in hospital utilization among the urban poor in Indonesia. The results showed that individuals with government-run and private-run insurance were more likely to utilize hospitals compared to those without insurance. The study concluded that government-run insurance was more effective in improving hospital utilization among the urban poor in Indonesia, but private-run insurance was even more effective, and combining both types of insurance was the most effective.
Article
Public, Environmental & Occupational Health
Byunggeor Moon
Summary: This paper analyzes community-based integrated care programs and estimates future costs based on consumer-oriented integrated care data in Korea. The findings provide policy implications for business operation and sustainable financial management.
FRONTIERS IN PUBLIC HEALTH
(2022)
Review
Medicine, General & Internal
Mary Rose Angeles, Paul Crosland, Martin Hensher
Summary: This article reviews publications on Medicare, the Pharmaceutical Benefits Scheme, and the universal health care system in Australia. It identifies financing and policy challenges as well as opportunities for whole-of-system strengthening. The review highlights issues such as fragmented health care, lack of integrated health financing, and the burden of out-of-pocket costs.
MEDICAL JOURNAL OF AUSTRALIA
(2023)
Article
Public, Environmental & Occupational Health
Aniqa Islam Marshall, Kanang Kantamaturapoj, Kamonwan Kiewnin, Somtanuek Chotchoungchatchai, Walaiporn Patcharanarumol, Viroj Tangcharoensathien
Summary: Participatory and responsive governance in Thailand's Universal Health Coverage (UHC) systems are governed through three public insurance schemes, with each scheme having individual laws. The legislative provisions promote citizen representation and involvement in UHC governance, implementation and management, but not all schemes equally bolster citizen participation and government responsiveness. Adequate implementation capacity and commitment to the legislative provisions are crucial for the success of UHC.
Article
Public, Environmental & Occupational Health
Stela Stojisavljevic, Bosiljka Dikanovic, Luka Voncina, Kerry Scott, Zubin Shroff, Dijana Manigoda, Savka Strbac, Borut Bosancic, Inke Mathauer
Summary: This study examines the usage of the Protector of Patients' Health Insurance Entitlements (PPHIE) initiative among elderly individuals in rural areas. The results show that most elderly patients are unaware of the program and instead rely on healthcare providers for navigation support.
Article
Medicine, General & Internal
Peter Vajda, Katalin Richter, Zsolt Bodrogi, Robert G. Vida, Lajos Botz, Sandor Kovacs, Antal Zemplenyi, Richard Bella, Andras Fittler
Summary: This study aimed to measure the cost elements of FMD implementation and operation in Hungarian hospital pharmacies. It found a significant increase in pharmacist and technician workload at the end of the stabilisation period. The research highlights the impact of decommissioning on workflow involving human resources and IT.
Article
Surgery
Pooja U. Neiman, Vibav H. Mouli, Kathryn K. Taylor, John Z. Ayanian, Justin B. Dimick, John W. Scott
Summary: According to regression discontinuity analysis, Medicare eligibility can reduce the economic burden of healthcare spending and delays in care for older adult surgical patients.
Article
Clinical Neurology
Oliver Y. Tang, Krissia M. Rivera Perla, Rachel K. Lim, James S. Yoon, Robert J. Weil, Steven A. Toms
Summary: Research found that in more competitive markets, hospitals charged higher fees for patients undergoing in-hospital cranial procedures. However, this did not result in increased inpatient costs, except for CSF diversion surgery. Increased competition did not lead to significant improvements in clinical outcomes, except for a potential survival benefit for brain tumor surgery.
JOURNAL OF NEUROSURGERY
(2021)
Article
Gerontology
Hankyung Jun, Soeren Mattke, Alice Chen, Emma Aguila
Summary: This study examines the impact of health insurance, particularly Medicare, on the depressive symptoms of older immigrants in the United States. The results show that Medicare coverage significantly reduces the probability of reporting depressive symptoms for immigrants with low socioeconomic status and for non-White immigrants.
Review
Public, Environmental & Occupational Health
Mamadou Selly Ly, Oumar Bassoum, Adama Faye
Summary: This article examines the institutional characteristics of universal health insurance (UHI) programs in African countries and their contribution to achieving universal health coverage (UHC) goals. The study finds that government-run health insurance is more effective than community-based health insurance (CBHI), and private health insurance has limited impact. It highlights the need to strengthen tax-based financing and overcome high fragmentation and voluntary enrollment in UHI systems in Africa.
Article
Public, Environmental & Occupational Health
Yaoguang Zhang, Di Dong, Ling Xu, Zhiwen Miao, Wenhui Mao, Frank Sloan, Shenglan Tang
Summary: China has achieved significant progress in advancing universal health coverage through the introduction of the New Cooperative Medical Scheme (NCMS) in 2003. The study assessed the impact of changing NCMS policies on service utilization, financial burden, and equity for NCMS enrollees between 2003 and 2013. The findings showed increased service utilization, reduced financial risk, and identified priority targets for future reforms to improve equity and financial protection for the rural population.
Article
Orthopedics
Taylor D'Amore, Graham S. Goh, P. Maxwell Courtney, Gregg R. Klein
Summary: This study aimed to evaluate compliance with the price transparency mandate and found that published hospital charges were not correlated with inpatient costs, post-acute care costs, or episode-of-care costs. The study also revealed that only a few hospitals were fully compliant with the transparency requirements, and there was a wide range in published charges.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Health Care Sciences & Services
Richard A. Hirth, Betsy Q. Cliff, Jeffrey T. Kullgren, John Z. Ayanian
Summary: This study examined the cost-sharing imposed by the Healthy Michigan Plan in comparison with other Medicaid expansion states under the Affordable Care Act. Results showed that over half of enrollees faced cost-sharing obligations, with a higher likelihood of payment among those with incomes above 100% of the Federal Poverty Level.
Article
Cardiac & Cardiovascular Systems
Kamil F. Faridi, Elias J. Dayoub, Joseph S. Ross, Sanket S. Dhruva, Tariq Ahmad, Nihar R. Desai
Summary: This study examines the Medicare coverage and out-of-pocket costs of quadruple therapy and regimens excluding ARNI or SGLT2i. The findings suggest that Medicare drug plans restrict the coverage of quadruple therapy through cost sharing, leading to substantially higher out-of-pocket costs compared to generic regimens.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Letter
Medicine, General & Internal
Austin B. Frakt, Michael E. Chernew
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2018)
Editorial Material
Medicine, General & Internal
Niall Brennan, Charles Ornstein, Austin B. Frakt
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2018)
News Item
Medicine, General & Internal
Austin B. Frakt
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2018)
Editorial Material
Medicine, General & Internal
Austin B. Frakt, Michael E. Chernew
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2018)
Editorial Material
Medicine, General & Internal
Steven D. Pizer, Austin B. Frakt, Kyle Sheetz, Carolyn Clancy
ANNALS OF INTERNAL MEDICINE
(2019)
Article
Substance Abuse
Taeko Minegishi, Austin B. Frakt, Melissa M. Garrido, Walid F. Gellad, Leslie R. M. Hausmann, Eleanor T. Lewis, Steven D. Pizer, Jodie A. Trafton, Elizabeth M. Oliva
Editorial Material
Pediatrics
Austin Frakt, Rachel Sachs
News Item
Medicine, General & Internal
Elsa Pearson, Austin Frakt
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2019)
Article
Cardiac & Cardiovascular Systems
Jose F. Figueroa, Daniel M. Blumenthal, Yevgeniy Feyman, Austin B. Frakt, Alexander Turchin, Gheorghe Doros, Qi Gao, Yang Song, Karen E. Joynt Maddox
Editorial Material
Medicine, General & Internal
Austin Frakt, Ateev Mehrotra
ANNALS OF INTERNAL MEDICINE
(2019)
Article
Health Care Sciences & Services
Yevgeniy Feyman, Jose F. Figueroa, Daniel E. Polsky, Michael Adelberg, Austin Frakt
Article
Health Care Sciences & Services
Yingzhe Yuan, Kali S. Thomas, Austin B. Frakt, Steven D. Pizer, Melissa M. Garrido
News Item
Medicine, General & Internal
Austin B. Frakt
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2019)
Article
Medicine, General & Internal
Laura G. Burke, Dhruv Khullar, Jie Zheng, Austin B. Frakt, E. John Orav, Ashish K. Jha
Article
Health Care Sciences & Services
Michael Adelberg, Austin Frakt, Daniel Polsky, Michelle Kitchman
AMERICAN JOURNAL OF MANAGED CARE
(2019)
